| NPI | 1114890233 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY MUNKER Billing Manager 410-686-3000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist |
| Additional Taxonomies | 207WX0108X Ophthalmology, Uveitis and Ocular Inflammatory Disease |
| Enumeration Date | 2025-09-25 |
| Last Update Date | 2025-09-25 |